可吸收倒刺线在腹壁整形术切口缝合中的应用效果及操作技巧  

Technique and experience of wound closure with barbed sutures in abdominoplasty

作　　者：徐伯扬 李尚善 刘春军 Xu Boyang;Li Shangshan;Liu Chunjun(Department of Aesthetic and Reconstructive Breast Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院乳房整形中心,北京100144

出　　处：《中华整形外科杂志》2023年第6期596-601,共6页Chinese Journal of Plastic Surgery

基　　金：中国医学科学院医学与健康科技创新工程项目(2020-I2M-C&T-B-082)。

摘　　要：目的:探讨可吸收倒刺线在腹壁整形术切口缝合中的应用效果及操作技巧。方法:前瞻性纳入2021年8至12月中国医学科学院整形外科医院接受腹壁整形术的患者,应用可吸收倒刺线缝合切口,作为试验组;回顾性纳入2021年1至7月同一单位未应用可吸收倒刺线缝合切口的腹壁整形术患者,作为对照组。对2组患者基本信息、切口缝合时长、术后切口并发症、瘢痕等情况进行队列研究。正态分布计量资料以±s表示,2组间比较采用独立样本t检验;计数资料以例数(%)表示,采用卡方检验或Fisher精确概率检验进行分析。结果:试验组纳入20例女性患者,年龄31~51岁,身体质量指数(BMI)为(23.2±2.5)kg/m 2,随访6~8个月;对照组纳入18例女性患者,年龄32~55岁,BMI为(23.9±3.7)kg/m 2,随访6~12个月。试验组切口长度为(36.5±4.5)cm,对照组为(35.0±3.4)cm,2组差异无统计学意义(P>0.05)。试验组切口缝合时长为(51±7)min,显著少于对照组的(98±15)min,差异有统计学意义(P<0.01)。试验组术后切口延迟愈合2例[10.0%(2/20)],原因均为脂肪液化;对照组术后切口延迟愈合3例(3/18),1例因脂肪液化、2例因线结排异反应引起,2组的切口并发症发生率差异无统计学意义(P>0.05)。术后3个月,试验组的温哥华瘢痕量表(VSS)评分为(5.9±1.3)分,对照组为(5.6±1.2)分,差异无统计学意义(P>0.05)。所有患者术后腹部外形良好,无腹壁膨隆、腹壁疝等发生,随访期间未出现异常瘢痕增生。结论:应用可吸收倒刺线缝合腹壁整形术切口能够显著缩短缝合时间,是一种高效、安全的缝合方法。Objective To introduce the efficacy and surgical experience of barbed sutures in wound closure of abdominoplasty.MethodsA prospective study of patients who underwent abdominoplasty in Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College from August to December 2021 was carried out.Barbed sutures and corresponding techniques were used for wound closure.These patients were included in the study group.Also,patients who underwent abdominoplasty from January to Jule 2021 and did not use barbed sutures were retrospectively included in the control group.Baseline data,surgical details,and follow-up records were reviewed and collected for statistical analysis.Normal distribution measurement data were expressed as Mean±SD,and independent sample t-test was used for comparison between the two groups.Count data were expressed as cases(%)and analyzed by Chi-square test or Fisher exact test.ResultsTwenty female patients aged 31-51 years old with body mass index(BMI)of(23.2±2.5)kg/m2 were included in the study group,followed up for 6-8 months.The control group included 18 female patients,aged 32-55 years old,with BMI of(23.9±3.7)kg/m2,and were followed up for 6-12 months.The abdominoplasty incision length of the study group was(36.5±4.5)cm and that of the control group was(35.0±3.4)cm,and there was no statistical significance between the two groups(P>0.05).The closure time of the study group was(51±7)min,significantly shorter than that of the control group[(98±15)min](P<0.01).In the study group,2 patients[10.0%(2/20)]had delayed wound healing caused by incision fat liquefaction.In the control group,delayed wound healing occurred in three patients(3/18),which was caused by incision fat liquefaction(1 case)and suture extrusion(2 cases).There was no significant difference in postoperative wound complication rates between the two groups(P>0.05).The Vancouver scar scale at three-month follow-up was scored(5.9±1.3)in the study group,(5.6±1.2)in the control group,with no significant dif

关 键 词：腹壁成形术 缝合技术 倒刺缝合线 

分 类 号：R622[医药卫生—整形外科]